CN106821467B

CN106821467B - Intracardiac branch of academic or vocational study pericardium thorax puncture and hydrops drainage device

Info

Publication number: CN106821467B
Application number: CN201710167880.5A
Authority: CN
Inventors: 孙军红
Original assignee: Individual
Current assignee: Individual
Priority date: 2017-03-21
Filing date: 2017-03-21
Publication date: 2023-07-04
Anticipated expiration: 2037-03-21
Also published as: CN106821467A

Abstract

The invention discloses a pericardium and thoracic cavity puncture and effusion drainage device in the endocardial department, which comprises a positioning and fixing device, a movable puncture device, a negative pressure drainage device, a medicine feeding device, a controller and a bracket, wherein a puncture assembly is fixedly positioned through a fixing clamp and an arc angle ruler, a medical staff is guided to adjust an angle through an infrared generator, the accuracy of puncture is ensured, the controller is indirectly controlled through a wireless remote controller, the operation of a doctor is more convenient, when in drainage, a puncture needle can close a driving button once entering a pericardium, a rebound device is formed by a first rubber block, a second rubber block, a damping spring and an ear shield to rebound rapidly, the risk that the heart is punctured by the needle core is avoided, effusion in a drainage tube can be rapidly cleared through the arrangement of a tube cleaning valve, and the effusion backflow during transfusion is prevented. In a word, the invention has the advantages of accurate positioning, simple operation, time saving and labor saving, and greatly reduces the workload of medical staff.

Description

Intracardiac branch of academic or vocational study pericardium thorax puncture and hydrops drainage device

Technical Field

The invention belongs to the technical field of medical appliances, and particularly relates to a pericardial and thoracic cavity puncture and effusion drainage device for endocardial department.

Background

Pericardial effusion, pleural effusion and spontaneous pneumothorax are common medical clinical diseases. In most cases, for definitive diagnosis and treatment, pericardial and thoracic effusions must be puncture checked and drained. Spontaneous pneumothorax is classified into closed pneumothorax, traffic pneumothorax and tension pneumothorax according to the situation of the pleural rupture of the visceral layer and the influence of pneumothorax on the intrathoracic pressure. Treatment of spontaneous pneumothorax including conservative treatment, aspiration or closed drainage of the chest cavity and surgical treatment. In most cases, aspiration or closed drainage is required, and when the pulmonary function of a patient is poor or a large number of pneumothorax occur, especially tension pneumothorax, effective pneumothorax closed drainage treatment must be rapidly performed. In most cases, pneumothorax patients require continuous chest closed drainage. In addition, in a few cases, if the pleura laceration cannot heal after drainage by a water sealed bottle, the lung cannot be re-tensioned, and a negative pressure suction device can be added to the drainage tube for drainage.

When pericardium and pleural effusion puncture drainage or pneumothorax drainage is implemented, a drainage needle is needed to be inserted into pericardium or thoracic cavity, and related drainage is carried out by using a steel needle at present clinically, but puncture failure can occur due to the fact that a needle hole is blocked by muscle tissue. In the case of drainage of pericardial effusion, the heart may be damaged by the needle tip, the heart may induce electrical disturbance, or even sudden cardiac arrest, or the heart vessel may induce pericardial tamponade due to the needle tip damage. When the hydrothorax is punctured or is used for drainage, the hydrothorax or gas is continuously drained, lung tissues are expanded, and the needle tip can damage alveoli to trigger the iatrogenic pneumothorax. Clinically, due to the damage of the needle tip to heart or lung tissues, related drainage can often only be finished in advance, so that pericardial effusion, pleural effusion or pneumothorax drainage is not thorough.

Disclosure of Invention

In order to solve the technical problems, the invention provides a pericardial and thoracic cavity puncture and effusion drainage device for endocardial surgery.

The technical scheme of the invention is as follows: the utility model provides a heart branch of academic or vocational study pericardium thorax puncture and hydrops drainage device, including location fixing device, remove the piercing depth, negative pressure drainage device, drug delivery device, controller and support, location fixing device mainly includes fixation clamp and arc angle chi, arc angle chi is semicircle type, fixation clamp quantity is two and be connected with arc angle chi both ends respectively, remove piercing depth and include mobile mechanism and puncture subassembly, mobile mechanism activity wears to overlap on arc angle chi, puncture subassembly connects on mobile mechanism's front, negative pressure drainage device is located the left side below of support, negative pressure drainage device includes the drainage bottle, be equipped with negative pressure generator directly over the drainage bottle, negative pressure generator top is equipped with the negative pressure regulator, the left side of drainage bottle is equipped with the inlet, the inlet passes through the drainage tube and links to each other with puncture subassembly, be equipped with three-way valve on the drainage tube, the drainage tube is equipped with the clear pipe valve on the interval of inlet and three-way valve, be equipped with the liquid outlet on the inlet, the liquid outlet top is equipped with the sealing plug, drug delivery device is located the right side below of support, drug storage bottle includes the medicine storage bottle, drug storage bottle is connected with the drug storage bottle through the drug delivery pipe and the three-way valve is equipped with the negative pressure regulator in the section is equipped with the drug delivery pipe and is connected with the end of the control pipe outside through the control pipe, the drug delivery pipe is located outside is close to the control pipe section.

Further, the fixation clamp includes punch holder and lower plate, and lower plate intermediate position is equipped with the bolt hole, wears the bolt pole in the bolt hole, fixedly connected with on the punch holder with the spout of punch holder at horizontal plane perpendicular cross, and the spout passes through slider and arc angle chi swing joint, is equipped with locking element on the slider, and the setting of spout and slider can make fixing device more nimble.

Further, the moving mechanism comprises a double-sided clamping groove sliding block, the back surface of the double-sided clamping groove sliding block is movably connected with the arc angle ruler, a locking clamp is arranged at the center position above the back surface of the double-sided clamping groove sliding block, a movable connecting piece is arranged on the front surface of the double-sided clamping groove sliding block, a stop block is arranged at the upper end of the movable connecting piece, a circular hole groove is formed in the central axis of the movable connecting piece, and the circular groove is connected with a clamping driving member through a connecting ball.

Further, the bottom of two-sided draw-in groove slider is equipped with infrared ray generator, and infrared ray generator and the horizontal contained angle of the bottom of two-sided draw-in groove slider be-degree, and infrared ray generator of certain contained angle can provide visual location for puncture subassembly, improves the precision of puncture.

Further, the clamping driving member comprises a clamping part and a driving part, the clamping part is connected with the driving part into an integrated structure through a transverse connecting rod, a micro-driver is arranged on the driving part and is in sliding connection with the driving part, and the micro-driver is connected with the controller through a wire.

Further, the puncture assembly comprises a needle core and a sleeve, one end of the sleeve is connected with a sleeve seat cavity, a first rubber block and a second rubber block are arranged in the sleeve seat cavity, the first rubber block is connected with the second rubber block through a damping spring, the first rubber block is in sealing sliding connection with the inner wall of the sleeve seat cavity, a drainage tube side connector is arranged on the sleeve, which is close to the sleeve seat cavity direction, a drainage hole is arranged on the outer wall of the sleeve, the needle core is positioned in the sleeve, the needle core extends along the sleeve seat cavity direction and penetrates through the second rubber block, a pair of ear stoppers are arranged on the outer side of the needle core, the ear stoppers are contacted with the lower surface of the second rubber block, a push rod is connected on the upper surface of the first rubber block, the push rod is fixedly connected with a micro driver, and the first rubber block, the second rubber block, the damping spring and the ear stoppers form a rebound device which is beneficial to quick rebound after puncture needles, and the heart is prevented from being punctured.

Further, the controller top is equipped with wireless signal receiver, and the lower right side of controller is equipped with the battery, and the battery has the plug through outside wire connection, and the outside of controller is equipped with menu panel and big display screen, and the controller still is equipped with wireless remote controller, and wireless remote controller top is equipped with little display screen, and the below of little display screen is equipped with drive switch, drainage switch, medicine switch and speed governing button, and wireless remote controller bottom is equipped with the string, sets up the doctor operation of being convenient for.

The utility model provides a heart branch of academic or vocational study pericardium thoracocentesis and hydrops drainage device's work method at first, fix the fixation clamp in sick bed both sides, fix through the bolt shank tightening, make the arc angle chi be located patient's health top, doctor's handheld ultrasonic detector confirms the puncture position, the other hand is through the spout and slider to the position of arc angle chi fine setting and through locking the locking component through going on the locking, open infrared generator and remove two-sided draw-in groove slider and confirm the puncture angle, the back is confirmed through locking card to the angle, doctor opens the drive switch on the wireless remote controller, micro-driver moves down along the drive part and promotes the puncture subassembly through the push rod, the puncture subassembly is through closing drive switch by adding the portion of holding, movable connection piece and two-sided draw-in groove slider constitution telescopic sliding track down, the needle core is through first rubber piece, the second rubber piece, damping spring and ear fender constitute rebound fast, avoid piercing the heart, open the drainage switch passes through the drain hole with the hydrops through the negative pressure drainage bottle valve to drain tube, during the time adjustable speed is passed through the speed control button to the drain tube valve, the speed controller is adjusted to the drain tube is passed through to the speed controller, the infusion is passed through to the controller is adjusted to the place of infusion is transferred to the infusion controller, after the infusion is finished, the infusion is transferred to the infusion controller is transferred to the speed of infusion controller through the infusion controller.

Compared with the prior art, the invention has the beneficial effects that: according to the pericardium thoracic cavity puncture and effusion drainage device for the endocardial department, disclosed by the invention, the puncture assembly is fixedly positioned through the fixing clamp and the arc angle ruler, the angle of adjustment is guided by the infrared generator, the accuracy of puncture is ensured, the controller is indirectly controlled through the wireless remote controller, the operation of a doctor is more convenient, when in drainage, the puncture needle can close the driving button once entering the pericardium, the rebound device is formed by the first rubber block, the second rubber block, the damping spring and the ear shield to rebound rapidly, the risk that the needle core punctures the heart is avoided, the effusion in the drainage tube can be rapidly cleared through the arrangement of the tube cleaning valve, and the effusion backflow during transfusion is prevented. In a word, the invention has the advantages of accurate positioning, simple operation, time saving and labor saving, and greatly reduces the workload of medical staff.

Drawings

FIG. 1 is a schematic view of the overall structure of the present invention;

FIG. 2 is a schematic view of the combined construction of the grip driving member and lancing assembly of the present invention;

fig. 3 is a schematic structural view of the wireless remote controller of the present invention.

Wherein,, 1-positioning and fixing device, 11-fixing clamp, 111-upper clamping plate, 112-lower clamping plate, 113-bolt hole, 114-bolt rod, 115-chute, 116-slide block, 117-locking member, 12-arc angle gauge, 2-moving puncture device, 21-moving mechanism, 211-double-sided clamping groove slide block, 2111-infrared generator, 212-locking clamp, 213-movable connecting piece, 214-stopper, 215-circular groove, 216-connecting ball, 217-holding driving member, 2171-holding part, 2172-driving part, 2173-micro-driver, 22-puncture assembly, 221-needle core, 222-sleeve, 223-sleeve seat cavity, 2231-first rubber block, 2232-second rubber block 2233-damping spring, 224-drain side port, 225-pushrod, 3-negative pressure drain, 31-drain bottle, 32-negative pressure generator, 33-negative pressure regulator, 34-inlet, 4-drug delivery device, 41-drug storage bottle, 42-drug delivery tube, 43-micro metering pump, 44-medical speed valve, 45-gravity ball, 35-drain, 36-one-way hydraulic valve, 37-outlet, 38-sealing plug, 5-controller, 51-wireless signal receiver, 52-battery, 53-external wire, 54-plug, 55-menu panel, 56-large display screen, 57-wireless remote control, 571-small display screen, 572-drive switch, 573-drain switch, 574-medicine feeding switch, 575-speed regulating button, 576-hanging rope and 6-bracket.

Description of the embodiments

For ease of understanding the present invention, reference will now be made to the accompanying drawings as examples in conjunction with FIGS. 1-3 and the specific examples, which are not to be construed as limiting the present invention.

The utility model provides a heart branch of academic or vocational study pericardium thorax puncture and hydrops drainage device, as shown in fig. 1, including positioning fixture 1, remove puncture device 2, negative pressure drainage device 3, medicine feed device 4, controller 5 and support 6, positioning fixture 1 mainly includes fixation clamp 11 and arc angle chi 12, arc angle chi 12 is semicircle, the fixation clamp 11 quantity is two and is connected with arc angle chi 12 both ends respectively, wherein, fixation clamp 11 includes punch holder 111 and lower plate 112, the lower plate 112 intermediate position is equipped with bolt hole 113, wear bolt bar 114 in the bolt hole 113, fixedly connected with on punch holder 111 with the spout 115 that crosses perpendicularly in the horizontal plane with punch holder 111, spout 115 passes through slider 116 and arc angle chi 12 swing joint, be equipped with locking component 117 on the slider 116, spout and slider's setting can make positioning fixture more nimble; the movable puncture device 2 comprises a moving mechanism 21 and a puncture assembly 22, wherein the moving mechanism 21 comprises a double-sided clamping groove sliding block 211, an infrared generator 2111 is arranged at the bottom of the double-sided clamping groove sliding block 211, the horizontal included angle between the infrared generator 2111 and the bottom of the double-sided clamping groove sliding block 211 is 65 degrees, and the infrared generator with a certain included angle can provide visual positioning for the puncture assembly, so that the puncture accuracy is improved; the back of the double-sided clamping groove sliding block 211 is movably connected with the arc angle ruler 12, a locking clamp 212 is arranged at the center position above the back of the double-sided clamping groove sliding block 211, a movable connecting piece 213 is arranged on the front of the double-sided clamping groove sliding block 211, a stop block 214 is arranged at the upper end of the movable connecting piece 213, a circular groove 215 is arranged on the central axis of the movable connecting piece 213, the circular groove 215 is connected with a holding driving member 217 through a connecting ball 216, the holding driving member 217 comprises a holding part 2171 and a driving part 2172, the holding part 2171 is connected with the driving part 2172 into a whole through a transverse connecting rod, a micro driver 2173 is arranged on the driving part 2172, the micro driver 2173 is in sliding connection with the driving part 2172, and the micro driver 2173 is connected with the controller 5 through a wire.

As shown in fig. 1 and 2, the puncture assembly 22 comprises a needle core 221 and a sleeve 222, one end of the sleeve 222 is connected with a sleeve seat cavity 223, a first rubber block 2231 and a second rubber block 2232 are arranged in the sleeve seat cavity 223, the first rubber block 2231 is connected with the second rubber block 2232 through a damping spring 2233, the first rubber block 2231 is in sealed sliding connection with the inner wall of the sleeve seat cavity 223, a drainage tube side interface 224 is arranged on the sleeve 222 in the direction close to the sleeve seat cavity 223, a diversion hole 2221 is arranged on the outer wall of the sleeve 222, the needle core 221 is positioned in the sleeve 222, the needle core 221 extends along the direction of the sleeve seat cavity 223 and penetrates through the second rubber block 2232, a pair of ear stoppers 2211 are arranged on the outer side of the needle core 221, the ear stoppers 2211 are in contact with the lower surface of the second rubber block 2232, a push rod 225 is connected on the upper surface of the first rubber block 2231, the push rod 225 is fixedly connected with a micro driver 2173, and the first rubber block, the second rubber block, the damping spring and the puncture needle are combined into a rebound device which is favorable for quick puncture after the puncture, and the heart puncture is avoided; the moving mechanism 21 is movably sleeved on the arc angle ruler 12, the puncture assembly 22 is connected to the front face of the moving mechanism 21, the negative pressure drainage device 3 is located at the left lower side of the support 6, the negative pressure drainage device 3 comprises a drainage bottle 31, a negative pressure generator 32 is arranged right above the drainage bottle 31, a negative pressure regulator 33 is arranged above the negative pressure generator 32, a liquid inlet 34 is arranged on the left side of the drainage bottle 31, the liquid inlet 34 is connected with the puncture assembly 22 through a drainage tube 35, a three-way valve 311 is arranged on the drainage tube 35, a clear pipe valve 312 is arranged between the liquid inlet 34 and the three-way valve 311 in the drainage tube 35, a one-way hydraulic valve 36 is arranged in the liquid inlet 34, a liquid outlet 37 is arranged on the right side of the drainage bottle 31, a sealing plug 38 is arranged above the liquid outlet 37, the medicine conveying device 4 is located at the right lower side of the support 6, the medicine conveying device 4 comprises a medicine storage bottle 41, the medicine storage bottle 41 is connected with the three-way valve 311 through a medicine conveying pipe 42, the medicine conveying pipe 42 is divided into an outer section and an inner section, a micro 43 is arranged on one end, close to the medicine storage bottle 41, a speed regulating pipe 42 is further arranged on the outer section of the medicine conveying pipe 42, the medicine storage bottle is further provided with a medicine storage bottle 42 is connected with the inner bottom 5 through the metering pump 45, and the bottom 5 is connected with the micro-regulating pump 33 through the metering pump 5. As shown in fig. 3, a wireless signal receiver 51 is arranged above the controller 5, a storage battery 52 is arranged at the right lower part of the controller 5, a plug 54 is connected to the storage battery 52 through an external wire 53, a menu panel 55 and a large display screen 56 are arranged at the outer side of the controller 5, a wireless remote controller 57 is further arranged on the controller 5, a small display screen 571 is arranged above the wireless remote controller 57, a driving switch 572, a drainage switch 573, a medicine feeding switch 574 and a speed regulation button 575 are arranged below the small display screen 571, a hanging rope 576 is arranged at the bottom of the wireless remote controller 57, and the wireless remote controller is convenient for doctors to operate.

The working method of the pericardial pneumothorax puncture and effusion drainage device in the endocardial department of this embodiment is that the fixing clamp 11 is firstly fixed on two sides of a sickbed, the fixing clamp is fastened and fixed through the bolt rod 114, the arc angle gauge 12 is positioned above the patient body, a doctor holds an ultrasonic detector to determine the puncture position, the other hand finely adjusts the position of the arc angle gauge 12 through the chute 115 and the slide block 116 and locks through the locking component 117, the infrared generator 2111 is started and the double-sided clamping groove slide block 211 is moved to determine the puncture angle, after the angle determination, the doctor is locked through the locking clamp 212, the doctor turns on the driving switch 572 on the wireless remote controller 57, the micro driver 2173 moves downwards along the driving part 2172 and pushes the puncture assembly 22 through the push rod 225, the puncture assembly 22 moves downwards to the infrared light spot designated position through the telescopic sliding track consisting of the clamping part 2171, the movable connecting piece 213 and the double-sided clamping groove slide block 211, when the needle core 221 pierces the pericardium, the driving switch 572 is closed, the needle core 221 forms a rebound device through the first rubber block 2231, the second rubber block 2232, the damping spring 2233 and the ear shield 2211 to rebound rapidly, the heart is prevented from being pierced, the drainage switch 573 is opened to drain the effusion to the drainage bottle 31 through the drainage hole 2221, the sleeve 222 and the drainage tube 35 by the negative pressure drainage device 3, the drainage speed can be adjusted by remotely controlling the negative pressure regulator 33 by the speed adjusting button 575 during the process, the drainage tube 35 is cleaned by the cleaning tube valve 312 after the drainage is finished, the three-way valve 311 is rotated to enable the front section of the drainage tube 35 to be communicated with the medicine delivery tube 42, the medicine delivery switch 574 is opened to quantitatively convey the medicine liquid to the patient by the micro metering pump 43, the transfusion speed is adjusted by the medical speed adjusting valve 44, the sleeve 222 is pulled out after the transfusion is finished, and the wound is subjected to hemostatic treatment.

With the above-described preferred embodiments according to the present invention as an illustration, the above-described descriptions can be used by persons skilled in the relevant art to make various changes and modifications without departing from the scope of the technical idea of the present invention. The technical scope of the present invention is not limited to the description, but must be determined according to the scope of claims.

Claims

1. The utility model provides a heart branch of academic or vocational study pericardium puncture and hydrops drainage device, its characterized in that, including location fixing device (1), removal piercing depth (2), negative pressure drainage device (3), drug delivery device (4), controller (5) and support (6), location fixing device (1) mainly includes fixation clamp (11) and arc angle chi (12), arc angle chi (12) are semicircle type, fixation clamp (11) quantity is two and is connected with arc angle chi (12) both ends respectively, remove piercing depth (2) including moving mechanism (21) and puncture subassembly (22), moving mechanism (21) activity wear to overlap on arc angle chi (12), puncture subassembly (22) are connected on the front of moving mechanism (21), negative pressure drainage device (3) are located the left side below of support (6), negative pressure drainage device (3) are including drainage bottle (31), be equipped with negative pressure generator (32) directly over negative pressure generator (11) and be equipped with negative pressure regulator (31) both ends connection, be equipped with negative pressure regulator (34) on the side (35) are equipped with drainage tube (35) inlet (35), the drainage tube (35) is provided with a clear pipe valve (312) at the interval between the liquid inlet (34) and the three-way valve (311), a one-way hydraulic valve (36) is arranged in the liquid inlet (34), the right side of the drainage bottle (31) is provided with a liquid outlet (37), a sealing plug (38) is arranged above the liquid outlet (37), the drug delivery device (4) is positioned at the right lower part of the bracket (6), the drug delivery device (4) comprises a drug storage bottle (41), the drug storage bottle (41) is connected with the three-way valve (311) through a drug delivery pipe (42), the drug delivery pipe (42) is divided into an outer section and an inner section, a micro metering pump (43) is arranged at one end, close to the drug storage bottle (41), of the outer section of the drug delivery pipe (42) is also provided with a medical speed regulating valve (44), the inner section of the drug delivery pipe (42) is connected with the inner bottom of the Chu Yaoping (41) through a gravity ball (45), and the controller (5) is positioned above the bracket (6) and connected with the micro metering pump (33) through a lead wire;

the fixing clamp (11) comprises an upper clamp plate (111) and a lower clamp plate (112), a bolt hole (113) is formed in the middle of the lower clamp plate (112), a bolt rod (114) penetrates through the bolt hole (113), a chute (115) which is perpendicular to the upper clamp plate (111) in a horizontal plane is fixedly connected to the upper clamp plate (111), the chute (115) is movably connected with the arc angle ruler (12) through a sliding block (116), and a locking member (117) is arranged on the sliding block (116);

the moving mechanism (21) comprises a double-sided clamping groove sliding block (211), the back surface of the double-sided clamping groove sliding block (211) is movably connected with the arc angle ruler (12), a locking clamp (212) is arranged at the center position above the back surface of the double-sided clamping groove sliding block (211), a movable connecting sheet (213) is arranged on the front surface of the double-sided clamping groove sliding block (211), a stop block (214) is arranged at the upper end of the movable connecting sheet (213), a circular groove (215) is arranged on the central axis of the movable connecting sheet (213), and the circular groove (215) is connected with a clamping driving member (217) through a connecting ball (216);

the clamping driving member (217) comprises a clamping part (2171) and a driving part (2172), the clamping part (2171) is connected with the driving part (2172) into an integral structure through a transverse connecting rod, a micro-driver (2173) is arranged on the driving part (2172), the micro-driver (2173) is in sliding connection with the driving part (2172), and the micro-driver (2173) is connected with the controller (5) through a lead;

the puncture assembly (22) comprises a needle core (221) and a sleeve (222), one end of the sleeve (222) is connected with a sleeve seat cavity (223), a first rubber block (2231) and a second rubber block (2232) are arranged in the sleeve seat cavity (223), the first rubber block (2231) and the second rubber block (2232) are connected through a damping spring (2233), the first rubber block (2231) and the second rubber block (2232) are in sealing sliding connection with the inner wall of the sleeve seat cavity (223), a drainage tube side interface (224) is arranged on the sleeve (222) close to the sleeve seat cavity (223), a drainage hole (2221) is formed in the outer wall of the sleeve (222), the needle core (221) is located in the sleeve (222), the needle core (221) extends along the sleeve seat cavity (223) and penetrates through the second rubber block (2232), a pair of lugs 2211) are arranged on the outer side of the needle core (221), the lugs 2211 are in contact with the lower surface of the second rubber block (223), and the first lugs 225) are connected with the push rod (2233) through the lower surface of the first rubber block (2232).

2. The pericardial thoracentesis and hydrops drainage device of claim 1 characterized in that a wireless signal receiver (51) is arranged above the controller (5), a storage battery (52) is arranged at the right lower side of the controller (5), the storage battery (52) is connected with a plug (54) through an external electric wire (53), a menu panel (55) and a large display screen (56) are arranged at the outer side of the controller (5), a wireless remote controller (57) is further arranged at the outer side of the controller (5), a small display screen (571) is arranged above the wireless remote controller (57), a driving switch (572), a drainage switch (573), a medicine delivering switch (574) and a speed regulating button (575) are arranged below the small display screen (571), and a hanging rope (576) is arranged at the bottom of the wireless remote controller (57).